Provider First Line Business Practice Location Address:
1550 N 115TH ST
Provider Second Line Business Practice Location Address:
NORTHWEST HOSPITAL
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98113-9733
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
318-388-1946
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/08/2007